Individual
DR. VANESSA CARYL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7303 HAVRE TURN, UPPER MARLBORO, MD 20772-4209
(301) 325-8921
Mailing address
7303 HAVRE TURN, UPPER MARLBORO, MD 20772-4209
(301) 325-8921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01485
IA
Other
Enumeration date
07/11/2006
Last updated
07/17/2007
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